Welcome

Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and
others concerned about HIV/AIDS. Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the
conversation yourself by registering on the left side of this page.

Privacy Warning: Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive
and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a
username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own
physician.

All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators
of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please
provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are
true and correct to their knowledge.

Author
Topic: Cardiac Blues (Read 17903 times)

During the past 7 months I have been experiencing infrequent symptoms of aching in my chest. The episodes never last more than 2 or 3 minutes and appear maybe once a month. I have been a heavy cigarette smoker for 32 years and have chalked up my chest aching to sore-tired lungs. Boy....I was wrong.

I finally brought this up to my doctor last month and have since been having certain diagnostic tests done. My doc feels it is heart related and immediately referred me to a cardiologist. So far, tests have revealed a blockage in one of my arteries. Next week I am scheduled for a cardiac catheterization to determine the extent of the blockage.

I am in PANIC mode and so very terrified of this situation. I am also very angry! For the most part I am a healthy eater (whole grains, fish oil, fruits, veggies) and have always exercised regularly. Alcohol only on occasion, but....., cigarettes-cigarettes-and more-cigarettes accompany my days. I did quit 1 week ago cold turkey with no problem as of yet. My doc feels the cigarettes are to take the blame.

Anyway, I am most panicked over the procedure of this cardiac catheterization. I am told I cannot be "put out" totally during the procedure. Drugs to relax and hopefully send me into lah lah land so I don't know or care about what is going on - will be administered heavily I pray...!! I am a very nervous person and NOT a good patient. F*&k Damon up and everyone has an easier and better time!

Has anyone here experienced this procedure? And would you be so kind as to share any thoughts on the subject to help ease my mind and nerves? I feel like I am residing in living hell.

Thanks.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

I have not had that specific procedure but a very closely related one where a two way ( in and out) catheter is inserted into the large vein that enters the heart..... only was " conscious" partly and could watch what was happening on the TV monitor...didn't feel a thing..was given several local shots plus a mild relaxer before procedure.... very fascinated ..sort of like watching Discovery channel.....except it is you on the monitor....very carefully removed the catheters when done and had to lie flat and still for two hours afterward......

Hello and welcome.I cannot give you first hand experience. However................My partner has had this proceedure and is just fine. No problems, very easy. Its just good that it was caught in time. He has a "stent" in a 99% blocked artery. I think what you refer to as chest pain is called ANGINA.You also dont tell us if you have been taking HIV meds and which ones , and you have not said anything about your bloodwork...cholesterol and triglycerides etc.My partner sounds a lot like you...in that he was doing pretty healthy things like going to a gym and eating well and taking supplements. He had been a heavy smoker but had quit several years before this incident. His triglycerides were discovered to be over 2000 when this happened.Now his triglycerides are in the 300 to 350 range and he is trying to eat a low carb diet. We dont know if its significant but.....his father died of a heart attack at age 48 and my partner had this blocked artery fixed at the age of 48. So he had some family "history". That was over two years ago and he is doing great...........................................Angina:Angina is a type of heart-related chest pain. This pain occurs because your heart is not getting enough blood and oxygen. Angina pain can be similar to the pain of a heart attack.

Angina is called stable angina when your chest pain begins at a predictable level of activity. (For example, when you walk up a steep hill.) However, if your chest pain happens unexpectedly after light activity or occurs at rest, this is called unstable angina . This is a more dangerous form of angina and you need to be seen in an emergency room right away.

Thanks for sharing Nick. Another friend of mine had a similar experience as yours. The "conscious" part scares me to no end. I prefer NOT to know what is going on. I believe the procedure is the same and sounds as if a stint was not necessary for you?

When I think about what is going to take place (through the vein in my groin up to my heart) - it totally freaks me out and I don't know how I am going to go through with it.

Hey Bear60 -

My doc says a stint is a possibility and this procedure will show how much blockage there is and if it warrants it. He also says it is a walk in the park and the cardiologist I am seeing has done thousands. This makes me feel somewhat better. It's the psychological thing that I struggle with - the thought of what will be happening and me being awake through it. I cannot even imagine or maybe that's the problem - I can imagine.

My triglycerides are mostly under control (similar to your partner's) and I take Lopid to help with this. My current counts are 198 T-cells and a 8,880 viral load. My cocktail consists of Norvir, Lexiva, Truvada. I have been on meds since 1989.

Thanks for the welcome.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

I also can't give you any personal experience. A co-worker of mine had this exact same procedure done, ( and had a stint put in) About two weeks ago. ( she is a CNA,) She is also 63 years of age. She took one week off from work after this was done, and is now back to work and feeling much better.

They discovered this during a stress test, and ordered more testing. But once again, I am not familiar with this. Just wishing you the best.I hope you can eventually cut down and quit the smoking. As a former smoker, ( as much as two packs a day), I know how difficult that is. But try to give it a go.

I also had a stress test done which is what lead me to this position. My doc says I have a partial blockage and the cardiac catheterization will determine how much.

Good news on the smoking though...today is Day 6 without cigarettes. This situation has all but scared the life out of me...(no pun intended) - so I feel sure I won't have any problem staying off the cigarettes. I have quit many times before and made it as a nonsmoker for almost 3 years once. It's interesting that the usual withdrawal symptoms I experience have barely made an appearance this time. Amazing what a little fear can do for a person.

I appreciate your comments.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

quote you...."It's interesting that the usual withdrawal symptoms I experience have barely made an appearance this time. ".......I dont know how you do it but congratulations. Both Kurt and I needed major help to get off cigarettes.....and our doctor was very helpful. If you need help dont feel like you've failed.

I also have cardiac problems, and have been on medication for Congestive Heart Failure since it was diagnosed in about 1998.

I have not had cardiac catheterization done, but know several folks who have.It's not nearly as bad as it used to be in the 80's and 90's, when they had to "sandbag" your artery and you couldn't move for such a long time....they now have some type of plug device that makes recovery time a lot quicker.

Don't panic! You will be fine. I have had a zillion medical procedures done, but not this particular one. I really don't think you will feel much while it is in progress.

hugs,Alan

Logged

"Remember my sentimental friend that a heart is not judged by how much you love, but by how much you are loved by others." - The Wizard of Oz

Thanks for the encouragement Alan. I have been told the procedure is virtually painless, however, psychologically I am sinking. The whole idea of what will be taking place really freaks me out. If only I could be "put out" during the procedure. I have gotten the idea that I will be "semi-out" and I just pray I will not be aware of what is going on.

Sorry to hear about your congestive heart failure. My Mom has been living with the same issue for 10 years now as well. Life sure does throw curve balls on occasion doesn't it. Thanks again for the kind words.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

Just want you to know I'm thinking about you. I know it sounds difficult, but just try to relax. Last year I had to have a needle biopsy done on a lump in one of my breasts, and I did quite a bit of deep breathing when the procedure was being done. It really helps. Good luck. Luv,Betty

Logged

I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Thank you for the support. My procedure is this Monday and I have managed to reach a somewhat peaceful place - or maybe its just acceptance. My good friend Scott will be with me and he has great positive energy that I always respond favorably to. He is a psychologist and really has a way of putting me at ease. I am so very blessed and privileged to have him in my life.

Nervous....oh yeah. Betty, you made a wonderful suggestion in regard to breathing. I have recently used meditation with breathing consciously during uncomfortable tests/procedures and it really does help in calming my nerves. I will definitely use the technique come Monday.

The good news is I am now on my 11th day without a cigarette! I do feel really good about this accomplishment and took the plunge cold turkey. I have great optimism that everything is going to be fine.

Hugs to each of you for the words of wisdom and support.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

I also experienced the same exact symptoms, however I just chalked it up to heartburn, although I should have known better. and In December of last year I had a heart attack, I'm 43. I was also terrified, I almost walked out of the hospital because I was so scared. But the procedure was simple. In my case they did surgery right next to my groin. Quite frankly I didn't feel a thing. They shave your pubic hair and prep you for surgery. then I was wheeled off to the surgery room. I was completely awake during the whole procedure and a catheter was threaded thru my groin area to my heart. I kept expecting to feel SOMETHING but never did. The only side effect was I had a HUGE bruise and it was sore for awhile. I am now on Plavix and another heart drug, and seem to be doing well. I entered the hospital on the 20th and was out on the 24th. After the surgery they have to remove something from the groin area and they press on it until it quits bleeding. Hardly any pain. On a scale of 1-10 I would have to give the pain factor a one. So don't worry, everything will be fine, These days the procedure is like getting a wart removed or something. Harmless. Good luck and hope all goes well

Have you thought of using ear plugs or some kind of music?Try to go for relaxation exercises before you have the procedure done.

Like breathing classes or some yoga.

I had a tumor removed from my back 2 months ago and was conscious the whole time.In my mind I was sitting in a meadow and had a beautiful view of a weat field with red flowers and a snow mountain top in the background....all visualisation techniques.Combined with very deep breathing during the procedure.

you will see.. it will all go well and be over before you know..

good luck

hermie

Logged

Diagnosed in 1987 and still kickingKivexa (Epzicom),Tivicay once daily.

It really does sound as if your experience mirrors mine so far. I really appreciate you sharing it with me. Did they give you anything at all to calm you or a light sedation of any kind? Being conscious through the procedure is what scares me to no end. My doc did say I can take a ativan in the morning before I arrive at the out patient center.

Thanks for the support.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

Damon, I completely understand the nervousness. And yes, it's made much worse by the committees that go on in our minds. I stress about things sometimes and I find that the less power I give to them, the better. Our minds can always manufacture more than what's there. Good luck and let us know how it goes. Luv,Betty

Logged

I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Damon, I completely understand the nervousness. And yes, it's made much worse by the committees that go on in our minds. I stress about things sometimes and I find that the less power I give to them, the better. Our minds can always manufacture more than what's there. Good luck and let us know how it goes. Luv,Betty

Thanks Betty, I will let everyone know how it went.

I appreciate you sharing with me.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

Well, I am back home from yesterday's heart catherization. Results were not as good as I had hoped. Apparently I have 2 arteries that are 95% blocked and 1 artery that is 70-80% blocked.

Apparently I have 2 options. I can have 3 stints put in or have a triple by pass surgery done.

I briefly spoke with my cardiologist yesterday about it. Too much for me to handle hearing at the time. I will speak with him further and decide tomorrow at my next appointment with him. My friend Nancy will be going with me to the appointment.

My sister is a cardiac nurse and her husband is a renowned heart surgeon in Richmond, Va. I plan on speaking with them today about my situation. Long story-but I haven't had much of a relationship with my sister for the past 18 years. We are cordial with each other but that's about it. Both my sister and her husband keep close tabs on my Mom who has congestive heart failure- so I am hoping they can offer me some good advice on what to do.

This whole situation is so surreal to me. I am so sad and so scared.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

I am so sorry Damon. I have no idea what I would do if faced with your decision. My first impulse is to go with the stint procedure.....but I'm saying that off the top of my head with no research or data behind it.....

For bypass surgery, they still have to open your rib cage right? Or can they do it now by microsurgery, going through 3 or 4 small holes? That would factor hugely in my decision. I have heard several people say that once their rib cage was split open, life was different for them (long healing time, pain, posture problems, etc). So it will be interesting to know what your brother-in-law advises.

Best of luck to you my friend, and please do keep us informed.

hugs,Alan

Logged

"Remember my sentimental friend that a heart is not judged by how much you love, but by how much you are loved by others." - The Wizard of Oz

I think it's great that you're going to have a friend go with you to your appointment. You might want to get a notebook and jot down any and all questions you have for the doctor and also leave space to write down what the doctor tells you. It's good you'll be talking to your sis and brother-in-law as well.

I know a couple people who have had triple-bypass surgery and they're doing alright. I know it's not much condolence, but take it a little at a time. Don't overwhelm yourself (sounds easier said than done I know). Talk it out. We're here for ya. Luv,Betty

Logged

I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Still waiting to meet with the heart surgeon. It will probably be next Tuesday at the earliest. I am confused. My sister's husband (a heart surgeon) stresses the urgency of my situation and my other doctors lead me to believe it is urgent and maybe not so urgent but serious.

I don't get it. I guess I will cease in rushing and stressing about the surgery and let the surgeon lead me at a pace they deem appropriate. My cardiologist contacted me yesterday and said he has spoken with the surgeon about my situation and they should be contacting me no later than Monday to schedule an appointment.

Meanwhile.....I will focus on staying relaxed and not exerting myself and of course on healing from the heart catheriazation which continues to leave me feeling soar.

Thank you Robert, Mark, Betty, Yaka, Alan, Bear60, Whiteboy500 and all who are keeping me in their prayers. I have spoken to quite a few people who have had triple bypass surgery or know people who have and everyone is doing great. I particularly like hearing how much greater my energy level will be after the surgery. Fatigue has been a big issue for me through the years and I am so looking forward to some relief in that area. I thought all this time my fatigue was solely caused by AIDS and the drug therapy - to think my clogged arteries played into the mix as well really shocks me!

Anyway, I will get through this and continue to prosper in my journey through life. I have many plans for the future yet to unfold!

((((((((({{{Group Hug}}}))))))))))

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

I am scheduled for bypass surgery this Wednesday, July 2nd. I understand I will be in ICU for one day after and then in the hospital for 5 days. I will need someone to stay with me 24/7 for the 1st week home.

I have been shown a lot of support from my friends who are willing to lend a hand to help in anyway they can. I continue to feel so blessed.

Oh yeah....still I am unbelievably frightened - but know that I will be fine and this experience is already catapulting me towards a better life. I am on day 26 without a cigarette and feel great. I can't believe it took this tragedy (gift?) to propel me into quitting smoking once and for all.

That's ok. Once again, I am seeing life as a precious commodity that too many people take for granted. Let me say this...there is beauty, joy and love everywhere when we learn to see it. Happiness can't help but follow...Thank God I have this opportunity to live a greater life.

In health, wealth, and peace,

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

Well, I am back home from the hospital and now focusing on recovery. For the most part the surgery went well although there apparently was some excessive bleeding which kept me in the ICU an extra day. At one point the surgeon thought he may have had to open me back up. Thank God, that did not happen!!!

Got home this past Thursday evening (7/10) and friends have been staying with me since. I was told not to be alone for the first 1-2 weeks after returning home. I have some restrictions (lifting, driving, vacuuming, etc.) but it is mainly for precaution should I lose balance and fall.

I will be having a physical therapist work with me 2-3 times a week and a nurse checking in on me as well.

All and all I feel everything went as well as could be expected. Virtually all the hospital nurses I had assigned to me were great people. I was so happy to be surrounded by such good energy. Now, of course the food was the WORST. I could not believe they kept giving me a "cheeseburger" option for lunch! I just had triple By-pass surgery and they are offering me a cheeseburger? What's wrong with this picture...

Anyway, I really appreciate everyone here supporting me and I am glad to have found this forum. I will continue to post in the future and look forward to further developing new friendships.

Hugs to all...

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

Way to go ! You've quit smoking, cleared an artery blockage, developed your friendship with Scott, have Hospice Care, ANd discovered there must be a healthy cheeseburger out there..and you were awake to remember it all....it wasn't a dream. ..boy, when you do something, you do it right,

speedy recoveryronnie

Logged

"I'm not done yet"....Glen Campbell

"I may not be exactly where I want to be, but I sure as Hell am not where I was" Wynnona Judd

Diagnosed/HIV1993AZTNorvir1994-2001Crixivan/Epivir/ZeritNo Meds for 7 Years

No, I did not choose the cheeseburger! I do love a great burger, however, I believe when I treat myself to one, it will be from a Longhorn Steakhouse or Outback Steakhouse and NOT a hospital. I was just really surprised they would allow me to have one at the hospital. Mmmmmh, maybe they are ensuring repeat business? HAH!

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

I have tried various brands/styles of veggie burgers in the past with out much luck. It's been year's though, and I am open to experimenting with them again. I do intend to stick with healthier diet choices from here on out.

Damon

Logged

All you have been waiting for is your own permission.-- Emmanuel (Pat Rodegast)

But I am going to have to do something. Like you Damon, I need to eat more heathlily. I have just about run out of options to chemically control my lipids so it may be up to me and my diet.

Have you tried heavy turmeric use for moderating LDL? After looking at my labs and having me pull old versions of my medical recap from the past three years, my doctor and I noted that my viral load was 0.5 to 1.0 log or more lower while I was supplementing with turmeric. My fasting LDL and triglycerides were also better behaved.

I stopped the supp as I had been taking a capsule form and didn't find it "worth the cost." At the "Asian Costco" a few blocks from home, though, I can get huge containers of ground turmeric or bulk whole root for a great price, and I will today or tomorrow! It's great in eggs, on cauliflower, or brewed and taken with a spicy meal. I'm sure it would punch up homemade veggie burgers quite well, too.

Best,David

P.S. I wonder if turmeric enemas would work to go right to the bloodstream and circumvent the taste buds....

These supplement tips are very helpful. I also happen to like tumeric.

I recently discovered that eating pineapple, due to Bromelain, is an effectiveanti-irritant to the digestive and urinary tracts. I have had to cope withafter-effects of radiation burns for a cancer I had 5 yrs ago. The MDs werenext to useless with these simple problems which have great day-to-dayimpact on lives.

My MD, like many, who is a wonderful HIV oncologist, poo-poos every pieceof info I bring him on supplements. However, I have been able to managemy HIV-med-related gout without taking prescriptions for it because I takedaily supplements which work.